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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO — BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: -t/Z3 0P 2) ZIP: S I <br /> NAME OF OWNER: /1/4 7 t7 SLS c t" �'L PHONE: (home) �/Z- TS�����" <br /> (work) <br /> MAILING ADDRESS: Pd 80/(33S2' CITY:/2$/q -) ZIP: S, <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): eC <br /> STORIES: / ezL SQ. FEET OF EACH FLOOR: 7 OC) <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET. / <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ac -)9 o <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordant . ith the approved plan. <br /> -2 <br /> APPLICANT'S SIGNATURE: DATE: --30:=-S- <br /> NOTE! <br /> Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />